05D0643187 CLIA NUMBER - MOUNTAINS COMMUNITY HOSPITAL CLINICAL LABORATORY

Laboratory Demographics

CLIA Number: 05D0643187

Facility Name: MOUNTAINS COMMUNITY HOSPITAL CLINICAL LABORATORY

Facility Address:
29101 HOSPITAL RD
LAKE ARROWHEAD, CA
ZIP 92352
Get Directions

Facility Phone Number: 909 336-3651

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1972570174

Taxonomy: 367500000X - Nurse Anesthetist, Certified Registered
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

CLIA Record

Field Name	Field Value
CLIA Number	05D0643187
LAB Type	Hospital
Facility Name	MOUNTAINS COMMUNITY HOSPITAL CLINICAL LABORATORY
Street	29101 HOSPITAL RD
City	LAKE ARROWHEAD
State	CA
ZIP	92352
Phone	909 336-3651
CertificateType	1
CertificateEffectiveDate	10/22/2022
CertificateExpirationDate	10/21/2024
FacilityType	Accreditation

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024